MR. KEITH A CORREIA (LATC, PTA) – Athletic Trainer, NPI 1689870396

MR. KEITH A CORREIA (LATC, PTA) is a healthcare provider. based in Revere, Massachusetts. specializing in Athletic Trainer. They hold the professional credentials LATC, PTA. They hold a License No. 4035 (MA). The NPI Number for MR. KEITH A CORREIA (LATC, PTA) is 1689870396

Main info

Male
Sole Proprietor
Name
MR. KEITH A CORREIA (LATC, PTA)
NPI
1689870396
Phone
(781) 629-1300
Address
117 FERNWOOD AVE
Enumeration Date
21 June 2007
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:18State licenses:2Digital endpointsOther names

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Provider Addresses for MR. KEITH A CORREIA (LATC, PTA)

  • 117, Fernwood Avenue, Revere, Suffolk County, Massachusetts, 02151, United States

    REVERE, MA 021513484

    Phone: (781) 629-1300

    Type: Mailing

  • CHA Everett Hospital, 103, Garland Street, Glendale, Everett, Middlesex County, Massachusetts, 02149, United States

    EVERETT, MA 021495066

    Phone: (617) 381-7175

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02151)

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Reviews

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Frequently asked questions

What federal number belongs to MR. KEITH A CORREIA (LATC, PTA)?
The federal identifier for MR. KEITH A CORREIA (LATC, PTA) is NPI 1689870396.
Is MR. KEITH A CORREIA (LATC, PTA) currently active in the NPI registry?
CMS-published data lists MR. KEITH A CORREIA (LATC, PTA) as an active registrant.
Does MR. KEITH A CORREIA (LATC, PTA) list a primary specialty?
If you are matching referrals, note Athletic Trainer for MR. KEITH A CORREIA (LATC, PTA). Clinical services aligned with this taxonomy classification.
Where is MR. KEITH A CORREIA (LATC, PTA)'s primary listing?
We display Revere, Massachusetts because that is what the record indicates for MR. KEITH A CORREIA (LATC, PTA).
What if Revere, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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